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Care Freedom Health Insurance Plan (for Pre-Existing Diseases)

Get the Best Cover Starting at ₹ 16/day*

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What is the Care Freedom Policy?

Care Health Insurance offers a specialized health insurance policy called “Care Freedom” for individuals with pre-existing conditions such as diabetes, hypertension and high BMI. With sum insured options up to 10 lakh rupees, the policy covers hospitalization and treatment costs for common lifestyle diseases. Additionally, it provides lifelong renewability and is available for individuals and families.

Patients with high sugar or blood pressure face a greater risk of developing chronic conditions like heart and kidney diseases, eye problems and blood vessel damage. Care Freedom seeks to alleviate the financial and medical burden on these individuals by decreasing the waiting time for coverage of pre-existing conditions to just 2 years. This adjustment guarantees that individuals dealing with long-term ailments can receive prompt and high-quality medical care.

The policy offers old-age patients the opportunity to personalize their Care Freedom health plan by incorporating extra benefits such as home care, health checks and COVID care with OPD. To discover more about the coverage benefits and eligibility criteria for the Care Freedom health plan, keep reading.
 

Care Freedom Policy Specifications

KEY FEATURES

₹3L

₹5L

₹7L / 10L

In-Patient Hospitalization

Upto Sum Insured

Upto Sum Insured

Upto Sum Insured

Day Care Treatment

Upto Sum Insured

Upto Sum Insured

Upto Sum Insured

Annual Health Check-up

Ambulance Cover

Upto ₹1,000/ Hospitalization

Upto ₹1,000/ Hospitalization

Upto ₹1,000/ Hospitalization

Companion Benefit

₹10,000

₹15,000

₹15,000

Consumable Allowance

₹750 per day

₹1000 per day

₹1000 per day

Domiciliary Hospitalization

Up to 10% of the Sum Insured covered after 3 days

Up to 10% of the Sum Insured covered after 3 days

Up to 10% of the Sum Insured covered after 3 days

Daily Sum Insured Cover

Upto 1,000 per Sum Insured limited

Upto 1,000 per Sum Insured limited

Upto 1,000 per Sum Insured limited

Recharge of Sum Insured

Pre/Post-hospitalization

Upto 7.5% payable Hospitalisation expenses valid till 30 days beyond the policy end dateUpto 10% payable Hospitalisation expenses valid till 30 days beyond the policy end dateUpto 10% payable Hospitalisation expenses valid till 30 days beyond the policy end date

Tenure

1 Yr/2 Yrs/3 Yrs

1 Yr/2 Yrs/3 Yrs

1 Yr/2 Yrs/3 Yrs

Room Rent

Twin Sharing Room subject to a maximum of 1% of Sum Insured per day

Twin Sharing Room

Sum Insured Private Room

ICU Charges

Up to 2% of Sum Insured per day

No limit

No limit

Sub-limits

Treatment of Cataract

Upto ₹20,000 per eye

Upto ₹30,000 per eye

Upto ₹30,000 per eye

Treatment of Total Knee Replacement

Upto ₹80,000 per knee

Upto ₹1,00,000 per knee

Upto ₹1,20,000 per knee

Treatment for Ailments like Surgery for all types of Hernia, BPH, etc.

Upto ₹50,000

Upto ₹65,000

Upto ₹80,000

Treatment for Ailments like Surgery for Cancer, bone fracture, etc.

Upto ₹2,00,000

Upto ₹2,50,000

Upto ₹3,00,000

Choose the Best Health Insurance Plan

that provides all the necessary coverage benefits you need at affordable premiums.

Coverage Benefits of Care Freedom Policy

The Care Freedom insurance plan offers a variety of unique benefits for its policyholders. These advantages include -

BenefitsCoverage

Cashless Treatment at Top Hospitals

Easily access cashless hospitalisation at more than 8350 hospitals with your Care Health card without any hassle.

Quick and Direct Resolution of Claim

You can receive speedy reimbursement for medical expenses without the requirement for a pre-policy medical check-up, regardless of your age or selected Sum Assured.

Different Policy Term Options are Available

You have the option to select from policy terms of 1 year, 2 years or 3 years, giving you the flexibility to choose the duration that suits your needs and preferences.

Pre-Existing Diseases Waiting Period

Pre-existing diseases are subject to a 24-month waiting period, after which they are covered comprehensively.

Grace Period Without Cost (Look-in Period)

To return the policy, send it back within 15 days of receiving it but the amount will be adjusted for the proportionate risk period and applicable stamp duty charges.

Recharge Sum Insured

The coverage limit for your claim can be exceeded, but do not worry, your sum insured will be recharged without any additional cost. This recharged sum can be used for other members covered by the same policy or for different ailments within the same year.

Yearly Medical Examination

It is important to prioritise an annual health check-up, which includes various tests such as complete blood count, urine routine analysis, fasting blood sugar, lipid profile, kidney function tests and ECG. This check-up is beneficial regardless of your claims history, as it allows for early detection of any potential health issues and helps in maintaining overall well-being.

Permanent Renewability

You can enjoy the plan’s lifetime renewability, which means you will have continuous coverage and peace of mind knowing that your insurance will not expire.

No Taxes to be Paid

Premiums paid for the Care Freedom Health Insurance Plan have the added advantage of being exempt from taxation under Section 80C of the Income Tax Act of 1961. This exemption provides additional financial benefit to policyholders.

Care Freedom Insurance Inclusions

  • In-patient and Daycare Coverage
  • Pre and Post-hospitalisation
  • Domiciliary Treatment
  • Consumable Allowance
  • Sum Insured Recharge
  • Ambulance Cover
  • Annual Health Check-up

Waiting Periods

  • The waiting period for this particular service is 30 days before you can proceed.
  • The waiting period for pre-existing medical illnesses is 48 months.
  • The grace period for this particular policy is 30 days.

Health Insurance Calculator

Health Insurance Calculator


Care Freedom Health Insurance Claim Process

Care Health prioritizes your health and aims to alleviate stress during unexpected medical situations. This guide will simplify the process of filing claims under your insurance plan, whether it is for emergency hospitalization, planned procedures or selecting between cashless and reimbursement options.

Timely Intimation is Key

  • Contact the helpline number within 24 hours of hospitalization for efficient claim processing.
  • Notify the Care office 48 hours before a planned procedure for pre-authorization and smoother claim settlement. 

 

Choosing Your Claim Path: Cashless or Reimbursement
 

  • For cashless claims at in-network hospitals, request pre-authorization at the insurance/TPA desk. They will handle the paperwork while you focus on recovery.
  • For non-network hospitals or upfront payments, submit the claim form and required documents for reimbursement.

 

Claim Approval Process
 

  1. Complete the pre-authorization form at the hospital's insurance/TPA desk and submit it to Care via fax.
  2. Your request will be reviewed and an approval letter will be sent to you.
  3. Prompt responses from you or the hospital will speed up the claim assessment process. 


Care Health Insurance Claim Process Through Claim Genie
 

At Care Health, accessibility and hassle-free claim processes are the top priorities. With “Claim Genie” integrated into their Care Health Customer App, you can conveniently handle all your health insurance needs. The user-friendly app allows for claim intimation, online form submission, document uploads and real-time claim status tracking. 

Make sure you have all the necessary documents ready for a quick claim settlement, whether you are opting for the cashless or reimbursement method. Having the right paperwork in order will help expedite the process and ensure that you receive timely compensation for your claim.

               

Required Documents for a Smooth Claim Experience

Step 01

Filled and signed claim form with name, policy number, illness details and address.

Step 02

Include all medical test reports and relevant documentation.

Step 03

Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.

Step 04

Attach pharmacy bills and corresponding prescriptions for medication used during treatment.

Step 05

Include police FIR and post-mortem report (if applicable) for accident claims.
 

Claim Intimation Made Easy with Claim Genie

Step 01

Open the Care Health Customer App on your smartphone

Step 02

Find and click “Claim Genie” and then “Claim Intimation” on the home screen

Step 03

Choose between “Emergency” or “Planned” when asked to choose a claim type.

Step 04

Enter claim details for the insured member.

Step 05

Upload your medical documents for your claim.


Track Your Claim Status with Ease

 

To ensure absolute transparency, you have the power to monitor the progress of your claim at any given moment. All you need to do is access the app’s homepage and click on the “Claim Tracking” option. This section provides you with a comprehensive overview of all your active claims. By selecting the “Track Cliam” feature for the specific claim you wish to keep tabs on, you will instantly presented with the most up-to-date status update. Moreover, the app grants you the ability to effortlessly download vital documents, ranging from query and settlement letters to approval notices.
 

Other Insurance Plans

Show All Plan

Care Freedom Health Insurance Contact Details

You may contact Care Health Insurance using the below-mentioned information if you have any queries about Care Health Insurance plans:

Phone: 1800-102-4499 (Sales) or WhatsApp: 8860402452 (Services)

Download the Mobile App for easy policy management.

Best Health Insurance Plans In India

When it comes to the best health insurance, there is no “one-size-fits-all” policy. It is like choosing a Netflix or OTT plan - different plans offer different benefits and have different costs. However, this age is designed to meet the diverse needs of most users, making it a versatile and comprehensive health insurance comparison page.

It is essential to conduct a thorough comparison to find the policy that best suits your needs. We have created a comprehensive table of how some of the top mediclaim policies in India compare to others in the industry.

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

The Care Freedom Plan is a great option for individuals with pre-existing conditions like diabetes, hypertension and high BMI. It is reassuring to know that it provides coverage for hospitalization and treatment costs, especially after a waiting period. People with pre-existing conditions need to have access to specialized health insurance that meets their needs.

A.

The cost of the Care Freedom Plan depends on various factors such as age, location, health status and sum insured. To find the most suitable plan for your needs, it is advisable to obtain quotes from multiple providers and compare their prices.

A.

Some plans may include a single private AC room while others may provide a twin-sharing room. The available options vary depending on the plan variant chosen.

A.

No, AIDS is usually not covered by most health insurance plans, including the Care Freedom plan.

A.

No, the Care Freedom plan does not cover pre-existing conditions like diabetes until after a waiting period of 24 months.

A.

The claim process will differ depending on the insurer. Typically, you'll have to get in touch with your insurer and give them the necessary documents, such as hospital bills, doctor's prescriptions, discharge summaries, and insurance policy documents. To find out the exact steps for filing a claim, it's advisable to visit the insurer's website or get in touch with their customer service.

A.

Yes, health insurance premiums like the Care Freedom Plan generally go up as you get older due to the increased likelihood of developing health issues.

A.

Failing to disclose a pre-existing condition could void your claim or even lead to policy cancellation. Be honest and upfront about your medical history during the application process.

A.

The coverage of annual health checkup benefits can differ, often including basic tests such as blood sugar, blood pressure and cholesterol. However, more specialized investigations are usually not included. It is important to review the specific plan details to determine what is covered.

A.

In such cases, consider supplementing your insurance plan with additional coverage to address specific needs that are not covered by the Care Freedom plan. For instance, adding a critical illness rider could offer extra financial assistance in case of a critical illness diagnosis.

A.

The Care Freedom Plan mainly covers traditional medical treatments determined by the insurer, while coverage for alternative treatments is often restricted or not included. It is important to review the policy wording to understand the details of coverage for specific treatments.

A.

Care Freedom is an ideal choice for those seeking extensive health insurance that includes coverage for hospitalization expenses. With options for both individual and family coverage for up to 6 members, it provides flexibility to cater to different needs and preferences.

A.

For Care Freedom, a co-payment clause is in place where you will be accountable for a portion of the final claim amount (either 20% or 30%). The insurance company will cover the rest, based on your sum insured limit. Senior citizens can choose to waive the increased co-payment, but this incurs an extra premium charge.

A.

Care Freedom offers a range of sum insured options, ranging from 3 lakh rupees to 10 lakh rupees. The chosen amount determines the maximum payout limit for hospitalization expenses per policy year. 

A.

Care Freedom’s “Recharge of Sum Insured” benefit is a unique offering that reinstates your sum insured once for future unrelated claims if it gets depleted during the policy year. However, it is crucial to remember that the recharged amount cannot be carried forward to subsequent policy years. 

A.

You have the flexibility to choose any hospital for treatment with Care Freedom, even if it is not in their network. However, if you opt for a non-network hospital, you will have to pay for the treatment upfront and then apply for reimbursement from Care Health Insurance. This usually requires submitting bills and medical records but the payout might be less than if you had gone to a network hospital.

A.

Maternity coverage under the Care Freedom plan is determined by whether you opt for the optional maternity benefit. The standard plan usually does not cover childbirth and related expenses. Getting the maternity benefit may involve extra premium costs and could have specific waiting periods and coverage limitations.

A.

Care Freedom does not cover dental and vision care expenses, as they are considered outpatient department expenses. However, Care Health Insurance offers optional add-on covers for dental and vision needs, which come with additional premium costs.

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